Prostate cancer occurs when cells in the prostate gland grow out of control. Prostate cancer surgery is one of the treatments for prostate cancer, the other being radiation therapy. Prostate cancer surgery is indicated when there are symptoms of:

1. Difficulty in urination such as:

  • Slowed start of urinary stream and problem in stopping the urine flow
  • Leakage of urine even after urinating
  • Pain or burning sensation during urination
  • Difficulty in emptying out all the urine

2. Blood in urine or semen

3. Evidences of low back ache and pain in pelvic bones

The ideal candidates for prostate cancer surgery are men younger than 75 years who are expected to live at least 10 more years of life. When cancer is limited only to prostate among individuals less than 75 years and are in otherwise good health are ideal candidates for prostatectomy.

The surgery to treat prostate cancer by removing the entire prostate gland is known as Radical Prostatectomy. The surgery is done to remove prostate gland along with seminal vesicles and nearby lymph nodes that may contain cancer cells. Radical prostatectomy may be done as an open procedure or as a laparoscopic procedure.

There are a few techniques of doing prostate surgery, viz:

Nerve — sparing surgery — The surgery preserves the nerves which exist along the side of prostate for erection. It is the surgery of choice when there are little chances to leave cancer cells behind.

Laparoscopic surgery — The minimally invasive technique entails making a small incision in the abdomen. The surgeon inserts a camera and surgical tools through laparoscope to view the procedure on a video screen while doing radical prostatectomy.

Robotic SurgeryIt is the most advanced techniquefor prostate removal in which robotic arms hold the surgery tools. The major advantage of robotic surgery is performing the surgery with high precision while reducing the risks associated with the surgery.

Prostate cancer surgery is highly effective in removing cancer cells but the cost of the surgery is much higher in western countries as compared to the developing countries. Owing to the low cost of surgery, many people from USA, UK, Canada, Australia, New Zealand and other European countries as well as African countries like Kenya, Nigeria, Uganda, Ghana, Sudan, South Africa come to India for prostatectomy. The excellent health care facilities at some of the best hospitals in India have lead to an increase in the demand of prostatectomy surgery in India.

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